Elizabeth Behr Runyon, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3004525 Issued in KY

Practice address

6813 W Highway 22
Crestwood, KY 40014-7007

Phone

(502) 243-2622

Fax

(502) 243-2692

NPI assigned

Jul 18, 2006

Last updated

Sep 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Positive Connections, PLLCGroup PAC ID 1850440074, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Connections, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crestwood, KY
  • NPI 1861632622
  Medicare reassignment Care Compare group NPD
• Merclan PLLC

  • Group Psychotherapy Psychologist
  • Crestwood, KY
  • NPI 1487687174
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1780603241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 W HIGHWAY 22",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400147007",
            "telephone_number": "502-243-2622",
            "fax_number": "502-243-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 W HIGHWAY 22",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400147007",
            "telephone_number": "502-243-2622",
            "fax_number": "502-243-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYON",
        "first_name": "ELIZABETH",
        "middle_name": "BEHR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3004525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PIN",
            "identifier": "000000609080",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78014800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "581467",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3004525",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6874327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Rodenberg, DMD, MSD
• Anne Therese Rogers, MOT OTR/L
• Brooke Michelle Raque Rohrs
• Douglas Richard Rosencrans
• Leslie Marie Ruiz
• Elisabeth Burnett Sanderson, APRN PMHNP
• Craig L Satterley, PT
• Judy Ann Savage, CCC-SLP
• Janet L Scherzer, PAC
• Elizabeth Ann Schickel, M.A. CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.